Triage decisions of emergency physicians in Kocaeli and the principle of justice

AKPINAR, ASLIHAN; ERSOY, Nermin

Triage decisions of emergency physicians in Kocaeli and the principle of justice

Nermin ERSOY, (Kocaeli Üniversitesi, Tıp Fakültesi, Tıp Tarihi ve Etik Anabilim Dalı, Kocaeli, Türkiye)

Aslıhan AKPINAR (Kocaeli Üniversitesi, Sağlık Bilimleri Enstitüsü, Tıp Tarihi ve Etik Anabilim Dalı, Kocaeli, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

7 1

Yıl: 2010 Cilt: 16 Sayı: 3 Sayfa Aralığı: 203 - 209 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Triage decisions of emergency physicians in Kocaeli and the principle of justice

Öz:

AMAÇ Bir çoklu yaralanma senaryosu kullanarak acil hekimlerinin triyaj karar verme yeterliklerini değerlendirmek ve acil tıp etiğinin temelinde yer alan triyaj eğitimi ihtiyacını belirlemektir. GEREÇ VE YÖNTEM Kocaeli ili hastane ve hastane öncesi acil servislerde çalışan 110 acil hekimine Simple Triage and Rapid Treatment (START) algoritmasına göre triyaj uygulayacakları 17 olguluk bir çoklu yaralanma senaryosu içeren anket formu dağıtıldı. Kişisel ve profesyonel özellikler ile triyaj kararları arasındaki farkı belirleyebilmek için ki-kare testi kullanıldı. BULGULAR Acil hekimlerinin doğru triyaj karar oranları, birinci öncelikteki dört yaralı için %83,6 ile %90,0, ikinci öncelikteki yedi yaralı için %26,4 ile %78,2, üçüncü öncelikteki dört yaralı için %70,9 ile %91,8 ve ölü olan iki olgu için %82,7 ile %97,3 arasında değişmekte idi. Kişisel ve profesyonel özellikler (yaş, mesleki deneyim, hastane acil deneyimi ve hastane öncesi acil deneyimi) beş yaralı için istatistiksel açıdan anlamlı bulundu (p<0,05). SONUÇ Çalışmamız acil hekimlerinin yaralılar için yetersiz triyaj kararı verme eğilimde olduğunu göstermiştir. Bu sonuç ve ikinci öncelikteki yaralılar için verilen doğru triyaj kararlarındaki sapma eğitim programlarında klinik-etik karar verme yöntemlerinin geliştirilmesi gerektiğini göstermektedir. Böylece acil hekimlerinin önemli etik ödevlerinden olan adalet ve zarar vermeme ödevlerinin ihlal edilmesi önlenebilecektir.

Anahtar Kelime:

Konular: Cerrahi

Kocaeli ili acil hekimlerinin triyaj kararları ve adalet

Öz:

BACKGROUND We aimed to examine the accuracy of triage decision-making among emergency physicians, using a multiple casualty scenario. This will assist in determining the necessity of triage training, which is the foundation of emergency medical ethics. METHODS A self-administered questionnaire including a multiple casualty scenario requiring each casualty to be prioritized for treatments by Simple Triage and Rapid Treatment (START) was given to 110 emergency physicians working at pre-hospital and hospital emergency services in Kocaeli. The differences between personal/professional characteristics and triage decisions were analyzed using chi-square test. RESULTS Accurate triage decision rates of the emergency physicians ranged from 83.6% to 90.0% for four immediate casualties, 26.4% to 78.2% for seven urgent casualties, 70.9% to 91.8% for four delayed casualties, and 82.7% to 97.3% for two dead cases. Personal and professional characteristics were found to be statistically significant in five cases (p<0.05).CONCLUSION This study showed that emergency physicians tended to under-triage patients. This result and the discrepancy of the accuracy rates in urgent casualties revealed the necessity for improvement in medical-ethical decision-making in the training programs. This improvement will help in reducing violation of the important duties of justice and of do no harm by the emergency physicians.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ERSOY N, AKPINAR A (2010). Triage decisions of emergency physicians in Kocaeli and the principle of justice. , 203 - 209.
Chicago	ERSOY Nermin,AKPINAR ASLIHAN Triage decisions of emergency physicians in Kocaeli and the principle of justice. (2010): 203 - 209.
MLA	ERSOY Nermin,AKPINAR ASLIHAN Triage decisions of emergency physicians in Kocaeli and the principle of justice. , 2010, ss.203 - 209.
AMA	ERSOY N,AKPINAR A Triage decisions of emergency physicians in Kocaeli and the principle of justice. . 2010; 203 - 209.
Vancouver	ERSOY N,AKPINAR A Triage decisions of emergency physicians in Kocaeli and the principle of justice. . 2010; 203 - 209.
IEEE	ERSOY N,AKPINAR A "Triage decisions of emergency physicians in Kocaeli and the principle of justice." , ss.203 - 209, 2010.
ISNAD	ERSOY, Nermin - AKPINAR, ASLIHAN. "Triage decisions of emergency physicians in Kocaeli and the principle of justice". (2010), 203-209.

APA	ERSOY N, AKPINAR A (2010). Triage decisions of emergency physicians in Kocaeli and the principle of justice. Ulusal Travma ve Acil Cerrahi Dergisi, 16(3), 203 - 209.
Chicago	ERSOY Nermin,AKPINAR ASLIHAN Triage decisions of emergency physicians in Kocaeli and the principle of justice. Ulusal Travma ve Acil Cerrahi Dergisi 16, no.3 (2010): 203 - 209.
MLA	ERSOY Nermin,AKPINAR ASLIHAN Triage decisions of emergency physicians in Kocaeli and the principle of justice. Ulusal Travma ve Acil Cerrahi Dergisi, vol.16, no.3, 2010, ss.203 - 209.
AMA	ERSOY N,AKPINAR A Triage decisions of emergency physicians in Kocaeli and the principle of justice. Ulusal Travma ve Acil Cerrahi Dergisi. 2010; 16(3): 203 - 209.
Vancouver	ERSOY N,AKPINAR A Triage decisions of emergency physicians in Kocaeli and the principle of justice. Ulusal Travma ve Acil Cerrahi Dergisi. 2010; 16(3): 203 - 209.
IEEE	ERSOY N,AKPINAR A "Triage decisions of emergency physicians in Kocaeli and the principle of justice." Ulusal Travma ve Acil Cerrahi Dergisi, 16, ss.203 - 209, 2010.
ISNAD	ERSOY, Nermin - AKPINAR, ASLIHAN. "Triage decisions of emergency physicians in Kocaeli and the principle of justice". Ulusal Travma ve Acil Cerrahi Dergisi 16/3 (2010), 203-209.